Jobs at PacificSource Health Plans

Develops, administers, and maintains compensation programs; processes compensation actions; conducts job analysis, salary surveys, benchmarking, and internal equity analysis; advises managers on pay decisions and compliance; maintains compensation data in Workday; leads compensation projects and partners with HR and business leaders to attract and retain talent.

Develops, administers, and maintains compensation programs; partners with business leaders on pay decisions, job evaluation, salary surveys, benchmarking, and compliance. Manages compensation projects, updates Workday HRIS data, analyzes internal equity and market data, and advises managers on offers, promotions, and policy interpretation.

Designs, administers, and maintains compensation programs; processes pay actions; performs job analysis, wage grade classification, market benchmarking, salary surveys, and internal equity analysis. Advises managers on pay decisions and compliance, maintains compensation data in Workday, and partners with HR and business leaders on strategic compensation initiatives.

Develop, administer, and maintain compensation programs and guidelines. Analyze job descriptions, wage grades, salary survey data, internal equity, and market benchmarks. Advise managers on pay decisions, ensure compliance with compensation laws, maintain compensation data in Workday, and support HR and business partners on compensation and benefits-related matters. Lead compensation projects and participate in strategic initiatives to attract and retain talent.

Develops, administers, and maintains compensation programs; conducts job analysis, wage grade design, salary benchmarking, and internal equity analysis. Advises management on pay decisions, ensures compliance with federal/state laws, manages compensation data in Workday, conducts salary surveys, supports HR partners, and leads compensation projects to attract and retain talent.

Prepare GAAP, statutory, and regulatory financial statements and NAIC filings; calculate RBC and perform consolidations. Own GAAP and statutory income tax provisions (ASC 740 / SSAP 101), coordinate tax compliance and filings, support audits and examinations, post month-end entries, test Workday reporting changes, and drive process improvements and automation.

Prepare consolidated GAAP and NAIC statutory financial statements, RBC calculations, and recurring tax provisions (ASC 740 / SSAP 101). Manage month-end entries, tax compliance across jurisdictions, audit/exam support, and process improvements including Workday reporting changes. Partner with external CPA firms and finance technology to automate workflows and ensure regulatory reporting accuracy.

Lead and manage risk adjustment data submissions to CMS, optimize HCC capture and HEDIS performance, validate and reconcile data with vendors, develop reporting and forecasts, support audits (RADV), mentor analysts, and collaborate with providers and internal teams to improve processes, compliance, and revenue related to risk scores and quality metrics.

Lead and optimize risk adjustment data submissions (CMS, HCCs, HEDIS), develop and maintain reporting, validate data integrity, oversee vendors, support audits (RADV), mentor analysts, and recommend process improvements to maximize risk scores and quality payments.

Provide utilization management and case review for members, coordinating resources and discharge planning, performing concurrent reviews and prior authorization assessments, documenting case notes, negotiating with providers, and supporting multidisciplinary teams to ensure quality, cost-effective care.

Perform utilization management reviews and concurrent review for inpatient and behavioral health care. Coordinate resources, discharge planning, preauthorization reviews, vendor negotiations, and member navigation. Document case notes, collaborate with multidisciplinary teams, refer high-cost cases, and assist Medical Director with guidelines and procedures to promote quality, cost-effective outcomes.

Perform utilization management and care coordination for health plan members, including concurrent review, preauthorization assessment, discharge planning, vendor negotiation, and documentation. Collaborate with multidisciplinary teams and providers to ensure appropriate, cost-effective care while supporting members and assisting Medical Director with guidelines.

Perform utilization management by assessing members' clinical and behavioral health needs, coordinating resources and discharge planning, reviewing preauthorizations and concurrent stays, documenting case notes, negotiating provider arrangements, and supporting multidisciplinary care to promote quality, cost-effective outcomes.

Provide utilization management and case review services by assessing member needs, coordinating care and resources, performing concurrent inpatient reviews, reviewing preauthorizations, documenting clinical decisions, negotiating with providers, and supporting multidisciplinary teams to ensure cost-effective, quality care.

Manage internal communications channels including the intranet, newsletters, and recurring content programs. Plan, write, and publish storytelling and strategic content, support external platforms as needed, format internal PowerPoint materials, monitor engagement metrics, coordinate content calendars, and ensure consistent brand voice and accessible design across channels.

Develop and publish internal storytelling and content across the company intranet, newsletters, and recurring programs. Manage content calendars, format internal PowerPoint materials, monitor channel engagement, and ensure consistent brand voice. Support external owned platforms as needed and collaborate with stakeholders to prioritize and refine communications.

Develop and publish internal communications across the intranet, newsletters, and recurring programs. Produce employee and member storytelling, manage content calendars and intranet content, support internal PowerPoint design, monitor engagement, and ensure consistent brand voice. Partner with stakeholders and support external platform content as needed.

Provide utilization management by assessing members' clinical needs, reviewing admissions and preauthorization requests, coordinating care and community resources, documenting reviews, supporting discharge planning, negotiating vendor/provider arrangements, and serving as a clinical resource to members, providers, and internal teams to promote quality, cost-effective outcomes.

Lead regional sales team for PacificSource Health Plans, managing recruiting, training, performance, broker relationships, sales/retention, renewals negotiations, budgets, and cross-functional process improvements. Provide escalations, represent the company at events, and travel frequently to meet growth and profitability goals.

Lead regional sales operations for PacificSource Health Plans, managing and developing sales representatives and account managers. Drive solicitation, retention, broker relationships, target account strategies, and direct sales when needed. Oversee hiring, training, performance management, budgets, process improvement, underwriting analysis, and cross-department collaboration. Represent the company at community events and ensure compliance with licensing and HIPAA requirements. Travel approximately 40–50%.